Individual
ELIZABETH PERRY HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3500 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4395
(152) 590-2754
Mailing address
3500 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4395
(215) 590-2754
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP021686
PA
Other
Enumeration date
10/06/2020
Last updated
09/15/2021
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